COVID-19 VACCINE CONSENT FORM

(Children 5 years of age & up and Adults)


CLICK HERE

TRANSFER YOUR PRESCRIPTIONS TO US TODAY!

CONTACT US

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Ask Us a Question. Then click SUBMIT when you are done.


For Prescription Transfer to Medela Pharmacy:

Additionally indicate your date of birth, medications to be transferred and the pharmacy phone number in the message section. Then click SUBMIT when you are done.


Insurance Information:

To help expedite your prescription fills, please locate the following information on your prescription insurance card and provide it to us in the message section:

-ID Number

-Bin Number

-Group Number if any

-Pharmacy Helpdesk phone number on the back of your card. 

Then click SUBMIT when you are done.



Address

6550 Mapleridge St. Ste 200
Houston, TX 77081

Contact

(713) 434-6557
[email protected]

Hours

Mon-Fri: 10:00 am-4:00 pm
Sat- Sun: Closed